Scabrous Elephantfoot Herb — Safety & Interactions

Di Dan Tou · Herba Elephantopi Scaberis

Contraindications

  • Cold patterns — absence of fever, clear or pale secretions, aversion to cold; cold-natured herb will aggravate Yang deficiency
  • Spleen-Stomach Deficiency Cold with loose stools
  • Pregnancy — sesquiterpene lactones (deoxyelephantopin, elephantopin) are cytotoxic; embryotoxicity not formally excluded; avoid

Cautions

  • Standard dose: 15–30 g dried herb in decoction; 30–60 g fresh herb; external use: fresh herb macerated as poultice
  • SAFETY-CRITICAL: deoxyelephantopin and elephantopin are potent sesquiterpene lactones with confirmed cytotoxic activity — prolonged high-dose internal use without clinical supervision is not recommended
  • Sesquiterpene lactone contact sensitisation: cross-reactive dermatitis possible in Asteraceae-allergic individuals; patch test recommended before topical use
  • Cytotoxic chemotherapy: theoretical additive cytotoxicity — avoid concurrent use without oncology supervision

Drug Interactions

Drug Class / Substrate Mechanism Severity Source
Cytotoxic chemotherapy agents — additive cytotoxic effect via deoxyelephantopin; avoid without oncology supervision

Pregnancy

Not recommended during pregnancy. Consult a qualified practitioner before any use.

This information is for educational purposes only and does not constitute medical advice. Always consult a qualified healthcare provider before using herbal medicines, especially if you take prescription medications.